Ellen S Wise in Troy - Physician Assistant

Ellen S Wise - NPI 1588601546

Ellen S Wise is a Physician Assistant in Troy, Ohio. Ellen S Wise practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ellen S Wise is 1588601546. The last update date is 2010-06-09.

Ellen S Wise's current location address is 3130 N Dixie Hwy, Troy, Ohio. You can contact this provider via phone number 9374404600 and fax number 9376194150. The mailing address for Ellen S Wise is 3130 N Dixie Hwy, Troy, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen S Wise
Address 3130 N Dixie Hwy, Troy, Ohio
Phone Number 9374404600
Fax Number 9376194150
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1588601546
Provider Enumeration Date 2006-05-31
Last Updated Date 2010-06-09

Provider Mailing Address Detail

Address 3130 N Dixie Hwy
City Troy
State Ohio (OH)
Post Code 453731337
Phone Number 9374404600
Fax Number 9376194150

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 50001511
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Ellen S Wise

What is the unique provider identifier assigned to Ellen S Wise?

The Ellen S Wise has been issued the NPI (National Provider Identifier) 1588601546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Ellen S Wise is physically located?

The Ellen S Wise is situated at the following address: 3130 N Dixie Hwy, Troy, OH 453731337.

What is Ellen S Wise's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ellen S Wise's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Ellen S Wise receive its 1588601546 assignment from the Centers for Medicare & Medicaid Services?

The Ellen S Wise was assigned its 1588601546 by the Centers for Medicare & Medicaid Services on 2006-05-31.

When was the information regarding Ellen S Wise most recently updated?

The details pertaining to the Ellen S Wise, including its address, specialty, and other relevant information, were last refreshed on 2010-06-09.

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